This study will evaluate bioavailability and food effect of selumetinib (AZD6244) in healthy male participants. A total of 24 healthy male participants will be included to ensure at least 20 evaluable participants. The study is divided in 2 study parts; the same participants will participate in both parts of the study. Part 1 of the study is to investigate the pharmacokinetics (PK) of the selumetinib granule compared to the PK of selumetinib capsule, when administered with water under the fasted conditions. Part 2 of the study is to investigate the PK of selumetinib granule and capsule under fed conditions. Participants will also receive a single 500 mg dose of acetaminophen at the same time as selumetinib administration.
This study will be a 2-part, open-label, single-center relative bioavailability and food effect randomized crossover study of new granule and capsule formulations of selumetinib. A total of 24 healthy male participants aged between 18 to 45 years (inclusive), will be included to ensure at least 20 evaluable participants. The study is divided in 2 study parts; the same participants will participate in both parts of the study. Part 1 of the study is designed to investigate the PK of the selumetinib granule compared to the PK of selumetinib capsule, when administered with water under the fasted conditions. Part 2 of the study is designed to investigate the PK of selumetinib granule and capsule under fed conditions. Participants will consume a low-fat, low-calorie meal. Thirty minutes after the start of the meal, selumetinib will be administered to the participants. In all treatment periods, participants will also receive a single 500 mg dose of acetaminophen at the same time as selumetinib administration where it will act as a marker for gastric emptying. The study will also assess the palatability of the selumetinib granule in both parts of the study. Each participant will receive the following treatments: * Treatment A: 25 mg granule, fasted state * Treatment B: 50 mg capsule, fasted state * Treatment C: 25 mg granule, fed state * Treatment D: 50 mg capsule, fed state Participant will be randomly assigned to 1 of 4 treatment sequences. In all cases the treatments in Part 1 will be administered before the treatments in Part 2. The study will comprise of a screening period of maximum 28 days. Four treatment periods during which participants will be resident from the day before dosing (Day -1) until at least 48 hours after dosing; discharged on the morning of Day 3. A follow-up visit, will be within 7 to 10 days after the last dose of investigational medicinal product (IMP). There will be a minimum washout period of at least 5 days between each IMP administration. Each participant will be involved in the study for approximately 8 to 9 weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
24
During Part 1 of the study, participants will receive single doses of selumetinib 25 mg granule under fasted conditions. The dose will be administered after an overnight fast of at least 10 hours. The IMP will be administered with approximately 240 mL of water. No food will be allowed for at least 4 hours post-dose.
During Part 1 of the study, participants will receive single doses of selumetinib 50 mg capsule under fasted conditions. The dose will be administered after an overnight fast of at least 10 hours. The IMP will be administered with approximately 240 mL of water. No food will be allowed for at least 4 hours post-dose.
During Part 2 of the study, participants will receive single doses of selumetinib 25 mg granule under fed conditions. Following an overnight fast of at least 10 hours, participants will start consumption of the recommended meal within 30 minutes before administration of the IMP. Participants will be required to consume the entire meal in 30 minutes or less; however, the IMP should be administered 30 minutes after start of the meal. The IMP will be administered with approximately 240 mL of water. No food will be allowed for at least 4 hours post-dose, where after a meal may be provided.
During Part 2 of the study, participants will receive single doses of selumetinib 50 mg capsule under fed conditions. Following an overnight fast of at least 10 hours, participants will start consumption of the recommended meal within 30 minutes before administration of the IMP. Participants will be required to consume the entire meal in 30 minutes or less; however, the IMP should be administered 30 minutes after start of the meal. The IMP will be administered with approximately 240 mL of water. No food will be allowed for at least 4 hours post-dose, where after a meal may be provided.
Participants will receive a single 500mg dose of acetaminophen at the same time.
Research Site
Baltimore, Maryland, United States
Selumetinib and N-desmethyl selumetinib plasma PK parameter: Dose normalized area under plasma concentration-time curve from time zero to infinity (AUC/D)
To compare the AUC/D of the new selumetinib granule formulation with selumetinib capsule formulation in fasted state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose(Days -1 to 3)
Selumetinib and N-desmethyl selumetinib plasma PK parameter: Dose normalized area under the plasma concentration-time curve from time zero to time of last quantifiable concentration (AUClast/D)
To compare the AUClast/D of the new selumetinib granule formulation with selumetinib capsule formulation in fasted state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose(Days -1 to 3)
Selumetinib and N-desmethyl selumetinib plasma PK parameter: Dose normalized maximum observed plasma concentration (Cmax/D)
To compare the Cmax/D of the new selumetinib granule formulation with selumetinib capsule formulation in fasted state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose(Days -1 to 3)
Selumetinib and N-desmethyl selumetinib plasma PK parameter: Fraction of administered selumetinib granule dose systemically available relative to the capsule reference (Frel)
To compare the Frel. of the new selumetinib granule formulation with selumetinib capsule formulation in fasted state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose(Days -1 to 3)
Selumetinib and N-desmethyl selumetinib plasma PK parameter: Area under plasma concentration time curve from time zero to infinity (AUC)
To compare AUC of selumetinib capsule fasted versus capsule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose(Days -1 to 3)
Selumetinib and N-desmethyl selumetinib plasma PK parameter: Area under the plasma concentration time curve from time zero to time of last quantifiable concentration (AUClast)
To compare AUClast of selumetinib capsule fasted versus capsule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose (Days -1 to 3)
Selumetinib and N-desmethyl selumetinib plasma PK parameter: Area under the plasma concentration-time curve from zero to 12 hours post-dose [AUC(0-12)]
To compare AUC (0-12) of selumetinib capsule fasted versus capsule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose (Days -1 to 3)
Selumetinib and N-desmethyl selumetinib plasma PK parameter: Maximum observed plasma concentration (Cmax)
To compare Cmax of selumetinib capsule fasted versus capsule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose (Days -1 to 3)
Selumetinib and N-desmethyl selumetinib plasma PK parameter: Ratio of AUC in fed state to AUC in the fasted state (FRAUC)
To compare FRAUC of selumetinib capsule fasted versus capsule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose (Days -1 to 3)
Selumetinib and N-desmethyl selumetinib plasma PK parameter: Ratio of Cmax in fed state to Cmax in the fasted state (FRCmax)
To compare FRCmax of selumetinib capsule fasted versus capsule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose (Days -1 to 3)
Selumetinib and N-desmethyl selumetinib plasma PK parameter: Half-life associated with terminal slope (λz) of a semi-logarithmic concentration-time curve (t½λz)
To compare t½λz of selumetinib capsule fasted versus capsule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose (Days -1 to 3)
Selumetinib and N-desmethyl selumetinib plasma PK parameter: Time to reach maximum observed plasma concentration (tmax)
To compare tmax of selumetinib capsule fasted versus capsule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose (Days -1 to 3)
Selumetinib and N-desmethyl selumetinib plasma PK parameter: Terminal elimination rate constant (λz)
To compare λz of selumetinib capsule fasted versus capsule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose (Days -1 to 3)
Selumetinib plasma PK parameters: Apparent total body clearance of drug from plasma after extravascular administration (parent drug only) (CL/F)
To compare CL/F of selumetinib capsule fasted versus capsule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose (Days -1 to 3)
Selumetinib plasma PK parameters: Apparent volume of distribution during the terminal phase after extravascular administration (Vz/F)
To compare Vz/F of selumetinib capsule fasted versus capsule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose (Days -1 to 3)
Selumetinib and N-desmethyl selumetinib plasma PK parameter: AUC
To compare AUC of selumetinib granule fasted versus granule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose (Days -1 to 3)
Selumetinib and N-desmethyl selumetinib plasma PK parameter: AUClast
To compare AUClast of selumetinib granule fasted versus granule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose (Days -1 to 3)
Selumetinib and N-desmethyl selumetinib plasma PK parameter: AUC(0-12)
To compare AUC (0-12) of selumetinib granule fasted versus granule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose (Days -1 to 3)
Selumetinib and N-desmethyl selumetinib plasma PK parameter: Cmax
To compare Cmax of selumetinib granule fasted versus granule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose (Days -1 to 3)
Selumetinib and N-desmethyl selumetinib plasma PK parameter: FRAUC
To compare FRAUC of selumetinib granule fasted versus granule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose (Days -1 to 3)
Selumetinib and N-desmethyl selumetinib plasma PK parameter: FRCmax
To compare FRCmax of selumetinib granule fasted versus granule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose (Days -1 to 3)
Selumetinib and N-desmethyl selumetinib plasma PK parameter: t½λz
To compare t½λz of selumetinib granule fasted versus granule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose (Days -1 to 3)
Selumetinib and N-desmethyl selumetinib plasma PK parameter: tmax
To compare tmax of selumetinib granule fasted versus granule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose (Days -1 to 3)
Selumetinib and N-desmethyl selumetinib plasma PK parameter: λz
To compare λz of selumetinib granule fasted versus granule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose (Days -1 to 3)
Selumetinib plasma PK parameters: CL/F
To compare CL/F of selumetinib granule fasted versus granule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose (Days -1 to 3)
Selumetinib plasma PK parameters: Vz/F
To compare Vz/F of selumetinib granule fasted versus granule low-fat fed state.
Time frame: At pre-dose, and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 24, 36 and 48 hours post-dose (Days -1 to 3)
Taste questionnaire
To assess palatability of selumetinib granule formulation. The standardized questionnaire will be administered to participants within 10 minutes following intake of selumetinib granule. Questionnaire about taste include sweet, salty, sour, bitter, metallic, and hot/spicy. Where 0 indicates not at all and 10 indicates extremely.
Time frame: At Days -1 to 3 (within 10 minutes following intake of selumetinib granule)
Number of participants with adverse events (AEs)
To assess the safety and tolerability of single doses of selumetinib in healthy participants.
Time frame: From the time of informed consent, throughout the treatment periods up to and including the Follow-up Visit (7 to 10 days after last dose)
Vital signs (systolic blood pressure [BP])
To assess systolic BP as a variable of safety and tolerability of single doses of selumetinib in healthy participants. Participants should be supine and at rest for at least 5 minutes before the measurements.
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Vital signs (diastolic BP)
To assess diastolic BP as a variable of safety and tolerability of single doses of selumetinib in healthy participants. Participants should be supine and at rest for at least 5 minutes before the measurements.
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Pulse rate
To assess pulse rate as a variable of safety and tolerability of single doses of selumetinib in healthy participants. Participants should be supine and at rest for at least 5 minutes before the measurements.
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
12-lead electrocardiogram (ECG)
To assess 12-lead ECG as variable of safety and tolerability of single doses of selumetinib in healthy participants. Participants should be supine and at rest 10 minutes before recording the ECG.
Time frame: From baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Number of participants with abnormal findings in physical examination
To assess physical examination as a variable safety and tolerability of single doses of selumetinib in healthy participants.
Time frame: From baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Ophthalmic examinations
To assess ophthalmic examination as a variable of safety and tolerability of single doses of selumetinib in healthy participants. Ophthalmic examination included best corrected visual acuity, intra-ocular pressure and slit-lamp fundoscopy.
Time frame: At screening Visit or on Day -1 of Treatment Period 1
Laboratory assessments: hematology - Hemoglobin (Hb)
To assess Hb as a variable of safety and tolerability of single doses of selumetinib in healthy participants.
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Laboratory assessments: hematology - erythrocyte count
To assess erythrocyte count as a variable of safety and tolerability of single doses of selumetinib in healthy participants.
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Laboratory assessments: hematology: Platelet count
To assess platelet count as a variable of safety and tolerability of single doses of selumetinib in healthy participants.
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Laboratory assessments: hematology: leucocyte differential count (absolute count)
To assess leucocyte differential count as a variable of safety and tolerability of single doses of selumetinib in healthy participants.
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Laboratory assessments: hematology: leucocyte cell count
To assess leucocyte cell count as variable of safety and tolerability of single doses of selumetinib in healthy participants.
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Laboratory assessments:hematology - differential count
To assess differential count of neutrophils, lymphocytes, monocyets, eosinophils and basophils) as a variable of safety and tolerability of single doses of selumetinib in healthy participants.
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Laboratory assessments: Serum clinical chemistry - electrolytes
To assess serum level of sodium, potassium, magnesium and phosphate as a variable of safety and tolerability of single doses of selumetinib in healthy participants.
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Laboratory assessments: Serum clinical chemistry - urea nitrogen
To assess urea nitrogen as a variable of safety and tolerability of single doses of selumetinib in healthy participants.
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Laboratory assessments: Serum clinical chemistry - creatinine
To assess creatinine as variable of safety and tolerability of single doses of selumetinib in healthy participants.
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Laboratory assessments: Serum clinical chemistry: albumin
To assess albumin as a variable of safety and tolerability of single doses of selumetinib in healthy participants.
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Laboratory assessments: Serum clinical chemistry: Total Calcium
To assess total calcium as a variable of safety and tolerability of single doses of selumetinib in healthy participants.
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Laboratory assessments: Serum clinical chemistry: Total protein
To assess total protein as a variable of safety and tolerability of single doses of selumetinib in healthy participants.
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Laboratory assessments: Serum clinical chemistry: Total bilirubin
To assess total bilirubin as a variable of safety and tolerability of single doses of selumetinib in healthy participants.
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Laboratory assessments: Serum clinical chemistry: Creatine phosphokinase (CPK)
To assess CPK as a variable of safety and tolerability of single doses of selumetinib in healthy participants.
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Laboratory assessments: Serum clinical chemistry: Troponin (isoform as per institutional norm)
To assess troponin as a variable of safety and tolerability of single doses of selumetinib in healthy participants.
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Laboratory assessments: Serum clinical chemistry - Liver enzymes
To assess serum of Alkaline phosphatase (ALP), Alanine aminotransferase (ALT), Aspartate aminotransferase (AST) and Gamma glutamyl transpeptidase (GGT) as a variable of safety and tolerability of single doses of selumetinib in healthy participants.
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Laboratory assessments: Clinical urinalysis - glucose
To assess urine glucose as a variable of safety and tolerability of single doses of selumetinib in healthy participants.
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Laboratory assessments: Clinical Urinalysis - protein
To assess urine protein as a variable of safety and tolerability of single doses of selumetinib in healthy participants.
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
Laboratory assessments: Clinical Urinalysis - blood
To assess urine blood as a variable of safety and tolerability of single doses of selumetinib in healthy participants. If urinalysis is positive for blood, a microscopy test will be performed to assess RBC, white blood cell \[WBC\], casts \[cellular, granular, hyaline\]).
Time frame: Change from baseline up to follow-up/early termination visit (7 to 10 days after last dose)
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